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weeks of open enrollment. medicare, the yearly open enrollment that is underway right now is six weeks long. the new marketplace was specifically designed for a long open enrollment, 26 weeks. those who enroll by the 15th will be able to access their benefits on day one. i am accountable to this committee and to the american public for getting the fix is in place. we are committing -- committed to getting fixed so that millions of americans can get the financial and health security they have been waiting for. thank you, mr. chairman. >> thank you, you have addressed the principal question i was going to ask, namely that many people think the site should be shut down until it is totally fixed. i am going to ask that question. why keep limping along? why not just shut it down until it is put together the way it should be put together? many have pointed out that your fixes tend to have unintended consequences down the road. some other part of the system going into and after all the other fixes have been made. people ask why that has not happened. we also know that every day
because we are only 61 years old and not eligible for medicare for another four years. $18,000 a year for health care. we were told that part of the problem is the provisions in the law require us to choose a plan that has maternity benefits. how does this make sense for seniors to be forced to buy coverage that does not apply to them? we agree that benefits should not be denied to peernling peopt it's not fair to be forced to buy coverage that doesn't even apply." mrs. fischer: i rise to speak on behalf of nearly 3,000 nebraskans who have contacted my office with their concerns about obamacare. their stories are, unfortunately, not unique. skyrocketing premiums and cancellation of plans, that they were promised that they could keep. curt from lincoln, nebraska, wrote to tell me he has seen his bluecross blueshield premium rise a shocking 300%. david, a father living in omaha, is face ago potential total increase of $16,000 a year for his family's coverage. $16,000. another constituent from bertrand, nebraska, will see his family's deductible more than double next year. how is this th
and her husband no longer could keep their medicare advantage plan. it was terminated. and so they found another plan, much higher costs, higher premiums, higher deductible. cynthia from lafayette, indiana. i'm a self-employed and purchase health care privately. i'm a single parent, with a mortgage payment and a child in high school. i was given estimates for -- my plan was canceled and i was given an estimate for a replacement plan almost double what i'm paying today. mr. president, you have not kept your promises for seniors. you have not kept your promise to single working mothers. you have not kept your promise to families. you have not kept your promise to the people that i represent. how can americans trust that this government takeover will work if you can't keep your promises to the american people? >> mr. president. >> senator from north dakota. >> in north dakota we have a lot of farmers and a lot of ranchers, and they're small business people. they're being hit very hard by obamacare, like other small businesses across this country. a rancher contacted us, named wayne, and he
additional benefits in their allcare plan, but despite of the accusations that somehow medicare advantage would cease to exist, we have a stronger and less expensive row graham today than we did. we have a 50% discount for prescription drugs. todays expensive program than we did. now haveof americans no co-pays and coinsurance for preventive care, everything from cancer screenings to immunizations. we have the lowest health care cost increases in decades. insurance market, medicare and medicaid costs are at an all-time lower rate. >> you can go through those points, and for those data sets you are talking about, some of those developments have occurred , but on the flip side, we see millions of americans lose their health care. millions and millions more see health care premiums going up. the price for some of these fixes you are talking about is phenomenally higher than we understood or was represented. isn't it time to go in and look at the areas of the law that are in thefailing? >> marketplace the rates have come than what theower congressional budget office rejected them to be. than
companies and not dollars coming out of the medicare trust fund, that they should not be declared to be government health plans. >> the medicare advantage plan is the same and is governed. >> actually, it is not quite the same, senator. it is a private insurance plan where federal dollars are paid directly out of the trust fund to the medicare trust fund. this is different, these are individuals playing premiums -- paying premiums to the private marketplace. >> may i reserve my time for a second round? >> you may, absolutely. >> thank you, mr. chairman. secretary sibelius, i have read the testimony and listen to it carefully and appreciated your commitment to making the website work. i am concerned, though, that a lot of the testimony and discussion we are having seems to imply that the problem we are dealing with has to deal with outlets on the website. experts are being hired to get the website fixed and then everything will be great. the chairman asked you if it would not be better to hold off until we can get the website fixed. i want to expand the little beyond that. i am con
security. medicare is facing trouble. new problems in medicare bug trend it -- drug benefit. those are headlines from the early part of this decade. major programs that have come below in terms of the social safety net in this country and health care security. while this is an excusable, it is a challenge that has been faced time and time when any program has been unveiled. i find it amazing that those that seek to ascribe blame have spent every waking hour of the last four years working to dismantle, destroy, obstruct, and impede the success of the affordable care act. they are concerned not about its failure, but about its success. what i hope we will focus on is how to succeed. i want to get a sense when those of us on the committee worked to put this together, we were under the assumption that state- controlled by republican legislatures or governors would put a higher premium on the love of state rights than their dislike of the president or some ideological political opposition. which is why we are seeing far better success in states that have established their own marketplac
by this obamacare. she received a letter telling that she and her husband no longer could keep their medicare advantage plan. it was terminated. so they found another plan, much higher cost, much higher premium, much higher deductible. cynthia from la fee yet, indiana, i' i am i am-employed d purchase health care separately. i am a single parent with a child in high school. i was given -- my plan was canceled and i was given an estimate for a replacement plan almost double of what i'm paying today. mr. president, you have not kept your promises for seniors. you have not kept your promise to single working mothers. you have not kept your promise to families. you've not kept your promise to the people that i represent. how can americans trust that this government takeover will work if you can't keep your promises to the american people? a senator: mr. president? the presiding officer: the senator from north dakota. h.o.v. in north dakotmr. hoevena we've got a lot of farmers and ranchers. thethey run a small business and they're being hit very hard by obamacare, like other small businesses acros
in a different medicare slang plan which will cost more. i wanted the senator to be aware that medicare clients are experiencing negative consequences from aca as well. since that time, by the way, after this experience. she has been able to find a plan that helps her avoid all six of her doctors including a five specialist in the primary care physician. here is the catch. the new plan? it's out of pocket costs are now going from $4 ,000 to $45 00 range. it's now going up to an expected $5,900. it was a tough decision for her to make. she ultimate decided to pay more money in order to keep seeing the doctors that have been treating her for the past four to six years. it's a real live story of a medicare advantage recipient in the country whose out of pocket costs are going up because of obamacare. it's wrong. it is unfair. it should not stand. i yield the floor. >> mr. president? >> senator from new hampshire. >> thank you, mr. president. i came to the floor yesterday to share so many stories i'm receiving from my constituents about them receiving cancellations for policies they wanted to keep,
, it is insurance companies. guest: i was wondering if betty lou was on medicare. anyone over 65 is not meant to be entering the insurance programs for obamacare. but she did have a point that insurance companies in a lot of cases are the ones that are changing these plans. one thing that the white house is try to emphasize is that even prior to the affordable care act insurance companies were the ones making the also changes to people. a lot of these cancellations or not necessarily directly derived from his health law. i think that is the point, he's really try to hammer it home. host: here's your updated piece in "politico." from today. states divided over complying with obamacare fix. regulators are dressing to president obama's rescue after an attempt to fix a rising wave of canceled policies. tell us more. guest: when president obama announces fixed last week, he kicked the problem . insurance -- to insurance companies and state insurance regulators. what we have seen is state regulators, even if they want to comply with the president's wishes, they might be constrained because they hav
to be able to go out and do great things like civil rights bills and like medicare and all of the education bills. she was his strength. i am so glad she was there. interests. her own and that was important. and daddy promoted her to. sometimes she would hold back and say, i should be here with you. he would say, you have two degrees from the university of texas, you can do anything. he was a promoter of women. >> bust? two. question or two. those reminiscences are invaluable to historians. what was it that made her do things like that? did she have an eye toward the future? that yound you know are living in an important moment in american history? what if her the presence of mind? >> she was a very disciplined person. i was at the university of texas when the assassination took lace. when i came to the white house she came and said you need to keep a diary. it is a good discipline. they have people in mental institutions to do that. thank you very much. is a discipline. it is a stabilizing thing to write down. i did it in fact, but not in theory. minas -- mine is november 15, studied latin
's the appropriations committee. mandatory spending. that's social security, that's medicare, that's veterans benefits. and then the other is revenue in, either through trust fund contributions or through fees or through taxes. the so-called top line is what discretionary spending is -- is what they allow for discretionary spending. in the budget, it's under an act called section 308 of the budget. i, in order to do my job as the chair of the appropriations committee, need the budget committee, with the concurrence of the congress, to give both my counterpart in the house, congressman rogers and nita lo lowey. myself and vice chairman on the other side of the aisle, senator shelby, the so-called top line. then we work through our other 12 subcommittees. this is absolutely crucial because we cannot do discretionary spending for fiscal 2014 until we hear from the budget committee. and we don't want another c.r. we don't want another shutdown. we don't want another slowdown. we're ready to go to work. we've already done our due diligence. we've already worked our -- worked through the subcommittees, 12 s
a letter telling that she and her husband no longer could keep their medicare advantage plan. it was terminated. so they found another plan. much higher cost. much higher premium, much higher deductible. i'm a self-employed and purchase health care privately. i'm a single parent with a mortgage payment. and a child in high school. i was given estimate -- my plan was canceled and i was given an estimate for a replacement plan almost double of what i'm paying today. mr. president you have not kept your promises for seniors. so you not kept your promise to single working mothers you have not kept your promise to families. you have not kept your promise to the people that i represent. .. takeover will work if you can't keep your promises to the american people? a senator: mr. president? the presiding officer: the senator from north dakota. h.o.v. in north dakotamr. hoeven: in north dakota we've got a lot of farmers and ranchers. theythey run a small business and they're being hit very hard by obamacare, like other small businesses acr
johnson signed medicare into law in 1965, it was estimated to cost $12 billion per by 1990. -- ectual price chart price tag was much higher. i could go to different dimensions like medicare, medicare is an medicare part b. we're going to look at a level of cost that ultimately is going to create a huge backlash in the country. we're going to have to find ways of reducing the burden on the people by and on our insisting on payments from people with higher incomes or assets and perhaps by raising the medicare eligibility age in the population that is living longer and longer. if you saw the old account today, the petite -- particularly among the elderly. they're totally opposed to anything like this. given the nature of our political system is hard to see anybody today in national office is going to take the lead on this thing in an effective way and make changes we all know we need. there are many programs that seek to change how dark is an hospitals are paid to keep these costs under control. on the theory that there should be a way of rewarding them for quality and efficiency. has be
insurance. they don't have a workplace insurance. they are not medicare eligible. they are not a veteran. they want insurance and often struggle with not only price increases at about 16% a year where the average. but everybody is medically underwritten so that any illness, disease, could block you from the market in the first place or put you in a pool that could skyrocket and lock oust. the protection that is the affordable care act added to the individual market, the last market without consumer protections are the very one that is every worker in a small group plan enjoy or in a work site enjoy. you can't be locked out because of a preexisting condition. you must be offered a policy. nur a risk pool so your own disease profile doesn't determine your rates. that is what is happening with that market. more than 50% of the people are not in their policies for a year. a third are there for only six months. it is a very volatile, very expensive, very unprotected marketplace for way too many folks. i have watched you today and watched you being eviss rated over in the house, calls for your
and medicare defense. i want to make it clear that the steadiness of the share of the category maps different patterns among its components so that chart at the bottom of the page and this other category. owing to the expansion of insurance coverage through the affordable care act and rising health care costs per person. in contrast, nondefense discretionary spending in the budget control act. we show figures like these not to suggest that you should try to repeat the budget configurations of the past, but instead to help you and others understand which parts of the federal budget are expanding relative to the size of the economy and which ones are shrinking. there is no particular reason that outlays for social security and medicare need to be cut back to the historical average share of gdp when a larger share of the population is old enough to receive benefits from those programs. however, if the programs are not cut back, then we will need to collect a larger share of gdp in tax revenue relative to our history, or cutback in other federal an methods and servicese listed to what we have bee
issues in terms of getting our fiscal house in order, the trustees have said medicare goes bankrupt in 2026. the disability fund you referenced, 2016. and is there a way for us to address our long-term fiscal outlook if we don't reform those programs or also are we able to even sustain them for the beneficials that rely on them? >> senator, your first question, our baseline projections follow current law in which the federal share of medicaid costs for the additional populations under the affordable care act declines from 90% over a few years later. our projections incorporate that and that feature current law. >> so just to be clear, if after three years the states come to us and say we want you to continue to pay 100%, that is not accounted for in this fiscal outlook? >> that's right. we would provide a cost estimate for that legislation. it would show additional cost for the federal government. >> with regard to obviously important programs, i think, to all of us but also a big challenge we face. >> yes. so on your second question, as my charts showed, the rise in spending for so
taxes, forcing people $.5 medicaid, spending trillion on new programs instead of making medicare solvent and encouraging employers to reduce their employees catch three hours. then having the irs fine americans for failing to sign up on a website that does not work. the president promised you can keep your health care, but the ofn cancels millions individual policies. for millions of others, employees are -- employers are dropping insurance programs. the new promise is, if you want health care, go find it. on a website that the administration says will not be working properly until the end of november, that is an unlock him christmas present. two weeks to shop for insurance by december 15 senate you are covered next year when obamacare outlaws your policy. the president put secretary sebelius in charge of this law. i have called on her to resign. ca couldhe internet, r tell you every day how many records elvis was selling, mcdonald's could tell you how many hamburgers were sold. , resident issa -- congressman issa posted notes are you are telling each other how many people are enrolling
for medicare and medicaid services says the agency will release health care enrollment for next week. his is two and a half hours. >> the senate committee on health el cation, labor and pensions will please come to order. about five years ago richard streeter, a 47-year-old truck driver from eugene, oregon was frustrated and worried. as "new york times" columnist nicholas chris-off described in his column this weekend, mr. streeter couldn't find affordable insurance in the market. back in the battle days no insurance would cover him. so he just went without care. after months of ignoring pain, he finally went in for a colonoscopy. but he couldn't afford one. the only way he could get it is from a doctor who agreed to take a half payment now and a half payment later whenever he could afford it. after driving 100 miles he ound out he had advanced colon cancer. his doctor said this, it was heartbreaking to see the pain on his face. he got me very angry with people who insisted obamacare is a train wreck when the real train wreck is what people are experiencing every day because the
actually tested it by paper and i have to admit that i can remember except when medicare was rolled out. and let me give you this. and the secretary later said that we actually have 800 family show up on a saturday morning and signed in with multiple attendees per family in nearly 300 people sent a follow up appointments after a navigator and we had 88 of the certified navigators they are and we don't know how many applications were completed because the numbers are being tallied in hhs and the regional office out of dallas. there are people who want to do it. if we have to do it by paper, we will do it. that's a frustration that we have. we want this work because there are millions in the country that need this. the majority in the house may not understand that. but in our district they do. and i don't know if you have a comment. >> i think that we take to heart the matter and i think that everyone working on this is absolutely serious about improving this experience because we know that in districts like yours, there are a number of people who need and want to enroll in use this benef
. 2013] head of the centers for medicare and medicaid will be on capitol hill to talk about the health care law's implementation. we will have that live at 10:00 a.m. eastern time on c-span. tomorrow, health and human services secretary kathleen sebelius will testify before the senate finance committee. she has said that problems with the health care website will be fixed by the end of this month. >> abc news reporter jonathan careasked about the health enrollment problems. here is some of that exchange. yes as waser is reported widely at the time. the whole point is that cms is processing paper applications, but it bypasses the need to create an account. creating an account is what led to the bulk of the issues in the early days. theially, on the launch of marketplaces on october 1, you are not able to do that by phone. in response to the trouble that thes were having online, unacceptable trouble they were having, we balked up the staffing of the call centers and made it possible for individuals to call and enroll and sign up and bypass the creation of an account, so that could be han
of health care hearings to tell you about. the centers for medicaid and medicare services will be on capitol hill to talk about the health care law including the health rollout. it will be live on c-span at 10:00 a.m. at the same time on wednesday morning, hhs secretary kathleen sebelius testifies in front of the senate finance committee and secretary sebelius and other obama officials won't talk about the research and the updates that should be completed by the end of the month. you can see that at 10:00 a.m. eastern on wednesday. >> you are watching c-span2 with politics and public affairs weekdays featuring live coverage of the u.s. senate and on weeknights, watch key items and the latest nonfiction authors and books on booktv. you can get our schedules are websites nuking join in the conversation on social media sites. >> our series on the affordable care act in conjunction with kaiser health news focuses on what is happening with the insurance plans that are being canceled. this is 45 minutes. >> on this segment of the "washington journal", we have been taking a look at the imp
i think you're right, senator. over the past 40 years, social security and medicare represented outlays for the program were 6% of gdp. by 2038 under current law, outlets will be about 11% of gdp. so the cut if spending that will be required on the programs that will be required to bring them back to the historic am average will be a cut of almost one half. we don't have anything that would accomplish that. as i said to start with, there is no particular reason why those programs should go back to the historical share of gdp given that many more people and much larger share of the population is eligible for them. on the other hand, if one does not restrain the programs, then significant changes need to be ma made. >> is there anything else you'd like, senator? >> r & d, we're in the process of producing a chart book of federal investments and some of the private sector investments as well. in terms of development, there is often a great deal and growth in private sector development but in the more basic forms of research. that is the sort of output for the economy that the priva
have a different situation as a medicare person, not medicaid. my medicare has gone completely haywire. my deductible has increased. the amount of doctor care i get has been decreased and the supplemental plans like aarp is pushing -- have increased tenfold because of the obamacare regulations and minimum requirement. like she is trying to say of goods find and everybody needs to pay for pregnancy and everyone needs to pay for prostate cancer so it all works out. that is one payer system and it that is what the system wanted to force people into to make it such a mess that they will come back with the one payer system is the only real way to solve this issue, that is what they wanted in the first place. i don't understand. a health care person such as yourself who is on here what is kaiser stand to gain from this because they are showing cancellation policies. >> host: just to be clear highs or health news is a nonprofit news service independent from the kaiser family foundation. it's a foundation nonprofit nonpartisan health policy think-tank and the correspondents at kaiser health ne
an employer plan or through medicare or medicaid, or the veterans administration there is no change for you accept an increase in benefits that everyone receives as a result of the affordable care act. they're one of americans who are uninsured whose only recourse for health care is the emergency room. then you have nothing but better options because you have available to you potentially free or very affordable health coverage or affordable options that did not exist for you before. if you are one of those americans that makes up only 5% of the population who currently receive, get coverage of some kind in the individual market and have a plan before law passed that hasn't been changed by your insurance company or canceled by your insurance company, downgraded by your insurance company you can keep it. it's written into law. it was explained by secretaries sebelius when the rule associated with that was published in 2010. however, if you are in the individual market and your insurance company changed your plan, downgraded debt your insurance has to meet the basic standards set by the afford
reform was expansion of medicare to provide prescription jugs to senior citizens. d, it wasedicare part enacted during the book administration ended zero then -- during the bush administration and expanded assistance to the needy, increased marketplace choices. medicare part d has been a huge success and anyone who doubts it should think about the terrific hearing chairman nelson held in the aging committee a few weeks ago where democrats and republicans all made this a point. godsendram has been a to millions of seniors by offering lifesaving medicine and it has cost 30% less than the congressional budget office had addicted. but the medicare ascription drug -- prescription drug program did not start out so high. the first few months of that bedlam.was i went back and looked at the newspapers from that time. i will just describe a few of the headlines. in drug plan upset seniors," read one. "a wasteful disaster." become a blunders monster." about thelines medicare prescription drug program, democrats and republicans now, together, say are a success, the headlines of the program are the
of the budget committee, would you be in favor of means testing social security and medicare down to $100,000 a year and hope that that saves medicare and social security for another 20 or 30 years? guest: i think it is time to to start the discussion. social security is vital to senior citizens across the country, and it is scheduled to go bankrupt in 20 years. the disability portion is scheduled to run out of money in three years. -- we cannot keep kicking the can down the road. it is time to have a discussion on how to preserve and protect this important program. i hope the discussion can begin because it is very important and we have to protect it. host: what you make of the thatine in "political" frank lucas said it was deadline week this week, that they need to come to a deal on farm legislation. great, if weld be could get it this week. it it is a good goal. we have been talking about this for three years now. we are at the conference committee stage, so that is encourage. there is agreement on most of the portions. there are three main sections they are discussing, and there are q
. griffith. >> thank you, mr. chairman. speaking of medicare part d, no one was required by law or forced a penalty to subscribe to that, isn't that correct? >> no. but we did auto enroll medicaid dual eligibles into medicare part d. >> it is a different animal than what we're dealing with now because of americans are told they can have their insurance so they will have to sign up through the exchanges. so i do appreciate that but there is a difference. one of the things when you get a time to take a look at the report, i think it's a symptom of the problems this website has had is that you were not included in the briefings on the report that has come to light in the last 24 hours. when you get a chance to read that one of the things you'll see is a filter ought to be one person overseeing all the different parts. listening to the vendors who previously testified before this committee it looked like they were each building their own part and in the last month they had excluded altogether. in the last two weeks -- two weeks things are changing. you really want to have, you want to defined
to vote on it. >>> next come the testimony from the head of medicare. she appeared on capitol hill again this week to explain the problems with healthcare law rollout and the website. we join this hearing with opening statements from the ranking member, tennessee republican lamar alexander. this portion is just over two hours and 20 minutes. welcome. when i was in president bush's cabinet i used to testify before this committee in that seat and i used to think the senators deliberately put the chair download so they could be of high. so we welcome you. my late friend alex haley used to say lamar if instead of aay speech if you would tell a story someone might listen to you. ofa so here's a story. 16,000 tennesseans have insurance through covertenn. obamacare is countering their policies.en covertenn is an example of what president obama calls "bad apples" a plan that washington decides is a good enough for you. i recently heard from him than of those tennesseans whose polic policy will be canceled january 1. her name is emily. she is 39 and she has lupus you she told me i cannot keep my
/3 of the federal budget is basically medicare, medicaid, social security, defense spending and interest on the public debt. that is where the money is, that is where we're going to make any progress inwe reducing spendingn the future we have to focus our attention. >> host: carl from chicago, illinois, on the line for democrats. you're on with mr. hoagland. >> caller: good morning, gentleman. mr. hoagland, you're saying a balance between spending and revenues. i think thatth you got it wrong. this is where the problem is in my eyes. in 2000 we had a balanced budget anhad surplus. republican chose to take all the surplus and borrow money to have tax cuts, okay? they said that we could have a war. in six weeks it wasn't going to cost as you dime. that wasn't true. it cost us a trillion or two dollars, maybe one or two trillion doll -- $2 trillion. we had the recession where americans lost 30% of their net worth and lost gdp because the recession started in 2007. gdp in 2007 and 8. which probably comes to maybe about, comes to maybe about a couple of trillion dollars. this is not about the
or social security or medicare or medicaid, the entitlement programs, at the smallest level in my lifetime. probably since dwight eisenhower. we're not lavishly spending on a bunch of social programs out there and in many ways a lot of these programs have become more efficient and pretty effective. defense we spent a lot from 2001 to 2011 but generally we are stabilizing and the pentagon working with me have come up with plans that allow us to meet our security needs while still bringing down some of the costs of defense particularly after having ended the war in iraq and on the brink of ending the war in afghanistan. when we talk about our deficit and debt problems, it is almost entirely health care costs. you eliminate the delta, the difference between what we spend on health care and what every other country advanced industrialized nation spends on health care, and that's our long-term debt. and if we're able to bend the cost curve, we help solve the problem. now, one way to do that is just to make health care cheaper overall. i think that's the best way to do it. that's what we've been
years. because of the affordable care act, more than 7 million people on medicare have saved more than $8 billion on their prescription drugs. more than 100 million americans have access to free preventive coverage. and no longer face lifetime limits on their coverage. over 10 million americans have received rebates from insurance companies and finally, this january, the worst abuses of insurance industry will be halted. never again will a family be denied coverage because their child has a chronic health condition. never again will individuals see their premiums shoot up because they got sick or faced an unexpected medical expense. never again will a woman have to pay twice as much as a man for the same insurance. that is why allowing insurers to continue offering deficient plans next year is such a bad policy. the law says that all plans except those that were grandfathered in 2010, must meet the new consumer protection standards. if we don't enforce this policy, insurance companies can continue offering flimsy coverage that disappears when people actually need it and no one should w
that they delivered the and were the sites more or less complicated than the site that we were talking about here today? and she said, of course, the site today was more complicated. and in the questioning and from her testimony, and we've been hearing about this testing that wasn't happening that we had individuals out there saying that about two weeks had been done, but i ask her about was there sufficient enough time when they did and the response she gave me back was on which is a less complicated site and she stated we had sufficient time to test the system before it went live. and i asked her in a follow up then, what was that sufficient time? and she said we had a number of months before the system went live at that time. and i just want to make sure because again, you know, sometimes things don't get reported accurately. and the "u.s. news and world report" on october 18th of this year and there is some questions going back and forth. i want to make sure that you were quoted properly. after two weeks of review, the hhs secretary c
and medicare together, that was about 6% of gdp on average over the last 40 years. but it will be more than 8.5% of gdp by 2023 and in our long-term outlook we show that by 2038 it will be more than 11% of gdp. meanwhile, defense spending shown in the third bank of the numbers is on track to be a shrinking share of gdp, and all other noninterest spending taken together, everything but social security and medicare and defense, will be roughly the same share of gdp in 2023 that it was on average during the past 40 years and that it is today. i want to make clear that the steadiness of this gdp share of the all other category masks some very different patterns among its sub components. as you can see in the chart at the bottom of the page in this other category, means tested health care programs are taking a growing share of gdp, owing to the expansion of insurance coverage through the affordable care act and rising health care costs per person. in contrast, nondefense discretionary spending is on track to be a sharply shrinking share of gdp, owing in part to the caps from the budget control act
or at the hearing this morning where they have the center of medicaid andc medicare services talking abouts the health care law. a senator from alaska wasn especially cogent in pointing out the difficulties and who differences between those twonai live in alaska and their inability to connect to theem services in the new health carel law. e if i remember correctly she sait only three have been able to drc enroll in pointed out the differences in time. i would like to spend a few minutes reflecting them whatthis happened this morning and what i said to the administration's witness., i begin by telling a story about 16,000 to alexian's who have insurance through something called cover tennessee. a low-cost coverage stateir program. obamacare is canceling a policy. the cover tennessee apparently is an example of what the president has called bad applesd an insurance plan that washington has decided is not enough for you. t i recently heard from one ofn those who policy will bee cancelled on january 1. her name is amelie. thirty-nine years of age. she lives in tennessee and toldt me, i cannot k
, china tax credit. i see, because of social security and medicare, a number -- hundreds of thousands, millions of americans get to spend more time with their children and grandchildren because of social security and medicare. 45 years ago before medicare, 48 years ago, half of america's seniors did not have health insurance. today 99% have t l we know that means people live longer, healthier lives. not just they get to see their grandchildren, which is to the pleasure and delight of almost all grandparents, it also means they get to impart their wisdom and knowledge and values to their grandchildren. margaret meade once said that whicwisdom is passed to grandchildren, from grandchildren to grandchild. they makes for a richer society. because of these two social security programs, we're a richer, better country as a result. today 63 million americans receive social security benefits. my state, it's 2 million. let me give you a couple of stafts. because this is really a moral question of what we do with our retirement system. two-thirds of seniors, social security is more than half the
information officer, at the centers for medicare and medicaid services is our guest today. thank you for testifying. i hope you can appreciate the hss has a ways to go to regain the trust of the american people. they were told it would be as easy as buying a television on amazon. every day new revelations are emerging showing this was avoidable. mr. chao was witnessed that the company primarily response for building the website would quote crash on take off end quote. and as early as march of this year, officials were well aware they were off schedule and testing was elementlimited. and we learned was launched after a memo alerted her the full assessment wasn't completed. so they knew there was security issues. the administration officials promised in public that in only a few days the american people would be able to use a perfectly functioning website. secretary sebelius told us the highest measures are in place and i hope we hear what they are from mr. chao and our second panel as well. the second panel features the people responsible for the i am di
participation in the medicare expansion will have a significant impact on enrollment. days and the district of columbia are expanding their programs. 24 states are undecided or are not going to expand. the congressional budget office is saying by 2018, 50 million people will enroll. they're expecting 7 million people to enroll in 2014 was a and medicaid, they are projecting 9 million people to enroll next year. the central question on everybody's mind, will consumers enroll? whole will enroll? -- who will enroll? the young and healthy? this is going to be credible -- critical to stabilization over time. to learn what people are experiencing during the first inks, the commonwealth found october, we interviewed a national sample of adults who are potentially eligible for marketplace options or medicaid. people who are uninsured or are purchasing and the insurance market. we found 60% of those adults were aware of the marketplace and october up from one third of the group and a similar survey we conducted in the summertime. adults reported visiting in october of stop the age and how the distri
by millions, spending money on new programs instead of investing in medicare to make it more solvent, and encouraging employers to work to have their employees work 30 hours and set of 40. that is not the values system that i support. we have a different approach, which would say let's encourage competition, let's encourage choices, and let's try to make health care cheaper so people can actually afford it. but that is our fundamental difference. venner, you, ms. ta don't you know with the improvements with a website how many people are trying to sign up every day for obamacare, how many are succeeding, what their level of insurance that they are buying is, don't you actually know that now? information that we are putting together and we will have available next week. >> next week? >> mid november. >> you're going to release it once? why don't you release a daily? >> we have said long before the program went live that we would to its similar to how do medicaid, medicare. >> this is different, these are people making decisions, people who will lose their insurance starting january, th
are in the market want to get insurance. don't have a workplace insurance and they're not medicare eligible and not a veteran. they want insurance, and often truggle with not only price increases at about 16% a year average but everyone is edically underwritten so any illness or disease could block you in the market in the first lace or put you in a pool that could sky rocket and lockout. the protections that the ha that e care act added to the individual market re the very ones that every worker in a small group plan enjoy or in a work site enjoy. locked out because of a preexisting condition. you must be offered the policy. are in a risk pool so your own disease profile doesn't determine your rates. that's really what is happening with that market. of the peep 50% are not in their policies for a year. a third are there for only six months. it is a very volatile and unprotected very marketplace for way too many folks., mr. rockefeller. i have e secretary, watched you today and watched eviscerated over in the house. not for your resignation, your head but your resignation ema
now, we have to bring it down to compete. i would point out that most people coming into medicare now have not had a lot of choice, so they are coming out of hmo's and narrower networks, so moving that -- moving medicare to a narrower network, moving medicare to less choice may not be as big a jump as some people would suggest. people say a word about who cannot afford high deductibles. we have to be very careful about -- about pricey sensitivity for war people, for young people. we are bringing in young people, but also low income workers. with that group we have to be very sensitive about whether they will have real access to the health care system if they come in with high deductibles. as the be just as bad current system for them. at is what makes this so complicated. the different kinds of patients and people we are dealing with -- some of them can live in a world of high deductibles, and others we will have to be careful with or we will end up with lots of charity care or the in between. >> i would echo what president shall a lot -- president shalala said. always cost centers, n
experience, the experience of medicare part d. to the extent your timeline plays out and we have a fully functioning website within the next dirty-60 days, is that in time for what we expect to be the majority of people coming in and wanting to access the product? >> let me start with the product. i think that we are extremely pleased with the product. and i think it is important not to lose sight of that. as i said before, we had about 25% new entrants into the market, new issuers offering new plants. we had over 200 issuers and i think) 3000 products. but i will get you that specific information. -- the insurance market wants us to succeed. they see it as a the business. so, we have been pleased with the states in the competition. there have been some exceptions as we talked about before, and we want to stimulate that as time goes on. the second piece -- we have always believed that the first enrollment surge would come mid- december and the second surge would come late february/early march. there would be people who want to sign up by january 1, but there would always be another group
for the center for medicare and medicaid services, inflation adjusted health spending grew at a 2% annual rate over the three years since 2010. the lowest rate recorded since we began tracking these data in the 1960s. lower health spending helps with wages and jobs. fourth, the dramatic increase in domestic energy production is another opportunity for the u.s. economy. crude oil production has grown each year the president has been in office, reaching its highest level in 17 years in 2012. we've seen stronger fuel efficiency, and as a result of all of these advances, we learned just today that our domestic production of crude oil exceeded our net imports of oil in october. more broadly, the president remains firmly committed to an all of the above energy strategy, including progress on renewable energy as well. finally, the last favorable trend we have is that technology provides significant opportunities for long-term growth, especially in areas that benefit from the combination of mobile computing and increasingly fast wired and wireless internet connections. over the last four years, the un
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